Issue Number 262            July 23, 2001


  1. FDA approves GlaxoSmithKline's Safety Tip-Lok vaccine delivery system for pediatric hepatitis A and hepatitis B vaccine
  2. Aventis Pasteur temporarily interrupts government contract of DTaP (Tripedia) and DTaP-Hib (TriHIBit)
  3. OSHA begins enforcing needlestick safety provisions


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July 23, 2001

On June 15, 2001, GlaxoSmithKline (GSK) received U.S. Food and Drug Administration (FDA) approval for Safety Tip-Lok: a prefilled Tip-Lok syringe packaged with a BD SafetyGlide needle for pediatric doses of Havrix (hepatitis A vaccine) and Engerix-B (hepatitis B vaccine).

This system is designed to help protect health care workers from accidental needlestick injuries when giving hepatitis A and B injections to children.

Authorized practitioners can request a free empty demonstration sample by calling (800) 680-9326.

For more information on federal needle safety requirements and a list of additional useful resources on needle safety, see story number three.

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July 23, 2001

On July 10, 2001, Aventis Pasteur notified the Centers for Disease Control and Prevention (CDC) that it would be unable to meet its DTaP and DTaP-Hib vaccine government contract obligations for the next eight weeks. The temporary delay resulted from a problem with the switch in production from ten-dose to single-dose vials.

Physicians who receive DTaP from health departments through the Vaccines For Children (VFC) program or 317 programs may not be able to receive Aventis Tripedia (DTaP) or TriHIBit (DTaP-Hib) for the next eight weeks, depending on the supply in individual states. However, states will be able to provide DTaP vaccine manufactured by GlaxoSmithKline (Infanrix). GlaxoSmithKline has assured CDC that a sufficient supply of DTaP vaccine  will be made available to cover the current public purchase needs for the DTaP five-dose schedule. 

In order to ensure that adequate supplies of government-supplied DTaP vaccine exist for all providers, it is important that everyone submit orders for no more than a one-month supply of DTaP at a time. CDC will continue to work with state immunization programs to ensure a steady supply of DTaP. In the private market, Aventis Pasteur will continue to supply DTaP vaccine at the current rate of distribution. All currently available Aventis Pasteur DTaP vaccine is safe and immunogenic.

The Aventis Pasteur and GlaxoSmithKline vaccines can be used interchangeably. CDC's Advisory Committee on Immunization Practices has already established a recommendation regarding DTaP vaccine interchangeability. The recommendation states: "When administered according to their licensed indications, different diphtheria and tetanus toxoids and pertussis vaccines as single antigens or various combinations, as well as the live and inactivated polio vaccines, also can be used interchangeably." The 2000 Red Book from the American Academy of Pediatrics recommends "in circumstances in which the previously administered product(s) is not readily available, any of the other DTaP vaccines licensed for use in the primary series may be used."

IAC EXPRESS will publish further updates as they become available.

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July 23, 2001

On July 17, 2001, OSHA began enforcement of the new requirements in its bloodborne pathogens standard. The new requirements direct employers to

  1. involve frontline employees who provide direct patient care in identifying and choosing safety devices
  2. maintain a log of injuries from contaminated sharps for employers with 11 or more employees (Information in the sharps injury log must be recorded and maintained in a manner that protects the privacy of the injured employee.)
  3. select safer needle devices as they become available

The requirements, intended to reduce needlesticks among health care workers and others, took effect April 18, 2001. However, following the effective date, OSHA instituted a 90-day period of "education and outreach" before enforcing the new requirements. As of July 17, 2001, facilities can be fined for noncompliance with the standard.

States and territories that operate their own OSHA-approved programs must adopt the revisions to the federal bloodborne pathogens standard, or a more stringent amendment to their own standard, by October 18, 2001.

To visit OSHA's website on needlestick prevention, which includes news releases, fact sheets, legislation, related technical links, and more, go to:

To obtain OSHA's technical background and summary on the revised bloodborne pathogens standard, go to:

To obtain OSHA's frequently asked questions on the revised bloodborne pathogens standard, go to:

To obtain OSHA's PowerPoint presentation on needlestick prevention, go to:

To obtain "Preventing Needlestick Injuries in Health Care Settings," a publication from CDC's National Institute for Occupational Safety and Health, go to:

To visit CDC's Division of Healthcare Quality Promotion page on bloodborne pathogens, go to:

To visit CDC's website on needle-free injection technology, go to:

To visit the website of the Exposure Prevention Information Network (EPINet) at the University of Virgina, which includes a directory of resources on complying with needlestick safety regulations, go to:

For EPINet's extensive list of needle safety devices, go to:

For EPINet's list of state legislation on needle safety, go to:

The Safe Injection Global Network (SIGN) is an international organization dedicated to needle safety. Visit:

The National Alliance for the Primary Prevention of Sharps Injuries website also offers extensive information. Visit:

About IZ Express

IZ Express is supported in part by Grant No. 1NH23IP922654 from CDC’s National Center for Immunization and Respiratory Diseases. Its contents are solely the responsibility of and do not necessarily represent the official views of CDC.

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Editorial Information

  • Editor-in-Chief
    Kelly L. Moore, MD, MPH
  • Managing Editor
    John D. Grabenstein, RPh, PhD
  • Associate Editor
    Sharon G. Humiston, MD, MPH
  • Writer/Publication Coordinator
    Taryn Chapman, MS
    Courtnay Londo, MA
  • Style and Copy Editor
    Marian Deegan, JD
  • Web Edition Managers
    Arkady Shakhnovich
    Jermaine Royes
  • Contributing Writer
    Laurel H. Wood, MPA
  • Technical Reviewer
    Kayla Ohlde

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